Individual provider Active NPI

Marian Fabyan, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lewisville, TX
National Provider Identifier
1326444597
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP126841 Issued in TX
Practice address
860 Hebron Pkwy
Suite 1101
Lewisville, TX 75057-5151
Phone
(469) 444-2244
NPI assigned
Nov 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP126841 TX Primary

Addresses

Primary practice location

860 Hebron Pkwy
Suite 1101
Lewisville, TX 75057-5151

Mailing address

1533 Summerfield Dr
Allen, TX 75002-1860
Phone (469) 569-8411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150408001173 TX Practitioner - Nurse Practitioner 3870811649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Pointe Psychiatry, PAGroup PAC ID 6305997909, 18 clinicians

Practice addresses (Care Compare)

860 Hebron Pkwy
Suite 1101
Lewisville, TX 75057-5147
Phone (469) 444-2244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Pointe Psychiatry, PA CurrentSince Jan 1, 2016 Accepting new patients

Locations

860 Hebron Pkwy
Ste 1101
Lewisville, TX 75057
Phone (469) 444-2244

Interoperability endpoints

  • Direct secure messaging: marianfabyan@dauim-tx.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1326444597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 SUMMERFIELD DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750021860",
            "telephone_number": "469-569-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 HEBRON PKWY",
            "address_2": "SUITE 1101",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575151",
            "telephone_number": "469-444-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABYAN",
        "first_name": "MARIAN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP126841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.